Individual provider Active NPI

Chong Lee, APNP

  • Family Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1336569037
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204703 Issued in OK
Practice address
11011 E 41St St
Tulsa, OK 74146-2714
Phone
(918) 878-7800
NPI assigned
Apr 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 193466 WI
Family Nurse Practitioner 363LF0000X 204703 OK Primary
Family Nurse Practitioner 363LF0000X 11048-33 WI
Family Nurse Practitioner 363LF0000X 217007 AR

Addresses

Primary practice location

11011 E 41St St
Tulsa, OK 74146-2714

Mailing address

4112 N Pine Ave
Broken Arrow, OK 74012-0472
Phone (918) 878-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230607003167 OK Practitioner - Nurse Practitioner 1759748601 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Medical IncorporatedGroup PAC ID 4587886593, 5 clinicians

Practice addresses (Care Compare)

11011 E 41St St
Tulsa, OK 74146-2714
Phone (918) 878-7800

200 W Britton Rd
Oklahoma City, OK 73114-3626
Phone (405) 755-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
193466WIMDRegistered Nurse
217007ARMDFamily Nurse Practitioner
11048-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince May 1, 2023 Accepting new patients
Integrated Medical Incorporated CurrentSince Apr 1, 2025 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince May 1, 2023 Accepting new patients
Integrated Medical Incorporated PastSince Apr 6, 2025 Accepting new patients
Williams Medical Group Practice, LLC Past Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

200 W Britton Rd
Oklahoma City, OK 73114
Phone (405) 755-8000

11011 E 41st St
Tulsa, OK 74146
Phone (918) 878-7800

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

1327 Oklahoma Ave
Woodward, OK 73801
Phone (580) 254-2377

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1336569037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 N PINE AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740120472",
            "telephone_number": "918-878-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741462714",
            "telephone_number": "918-878-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHONG",
        "credential": "APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-21",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "193466",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "204703",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11048-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "217007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.